Physician
Fallbrook Medical Center, INC
Fallbrook Medical Center, INC was paid $60K by Medicaid between Jan 2018 and Dec 2024, across 23 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 63% of everything it billed.
33Billing provider infoFALLBROOK MEDICAL CENTER, INC
FALLBROOK, CA 92028
FALLBROOK, CA 92028
33aNPI1881988814assigned 06/07/2011
33bProvider typeGeneral Practice Physician
28Total paid$60K
24GClaims11,065
24DCodes billed23
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other General Practice Physician providers in California
Rank by total paid#133 of 474
Median peer was paid$10K
This provider vs. median5.8×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 692 | $499.83 | |
| 2019 | 949 | $2K | |
| 2020 | 752 | $2K | |
| 2021 | 595 | $3K | |
| 2022 | 1,149 | $5K | |
| 2023 | 2,253 | $9K | |
| 2024incomplete | 4,675 | $38K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 63% | 5,734 | 5,416 | $38K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 12% | 1,188 | 1,177 | $7K |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | 12% | 622 | 621 | $7K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | 5.6% | 115 | 115 | $3K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | 2.0% | 213 | 206 | $1K |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 115 | 115 | $1K |
| 96373 | 1.7% | 204 | 194 | $999.29 | |
| 99385 | <1% | 45 | 45 | $379.48 | |
| 1125F | <1% | 62 | 60 | $350.00 | |
| 1158F | <1% | 59 | 57 | $280.00 | |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | <1% | 12 | 12 | $124.02 |
| 96127 | <1% | 124 | 122 | $79.81 |
11 more codes
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | <1% | 35 | $68.20 |
| G0444 | Annual depression screening, 5 to 15 minutes | <1% | 12 | $48.00 |
| 3074F | <1% | 802 | $0.77 | |
| 3078F | <1% | 554 | $0.65 | |
| 3079F | <1% | 609 | $0.56 | |
| 3075F | <1% | 209 | $0.28 | |
| 3077F | <1% | 207 | $0.22 | |
| 3080F | <1% | 75 | $0.06 | |
| 99499 | 0% | 32 | $0.00 | |
| 81002 | 0% | 12 | $0.00 | |
| G0328 | Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous | 0% | 25 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialBERRIOS, ALVARO (VICE- PRESIDENT)